The main causes of uterine prolapse

Uterine prolapse can occur in women of all ages. Summary: Women with a history of pregnancy are more likely to have uterine prolapse, which can cause great harm to women's urinary health. So, what are the key causes of uterine prolapse?

Causes

1. Damage to pregnant women during childbirth

It is the key cause of uterine prolapse. Childbirth, especially difficult labor, prolonged second stage of labor or vaginal delivery, can easily lead to damage to the cervix, cervical tendon, uterosacral tendon and pelvic floor muscles. If the supporting tissues cannot recover after childbirth, uterine prolapse is very likely to occur.

2. Increased abdominal pressure

Pregnant women in the postpartum period like to lie flat on their backs, and are prone to chronic urinary retention. The uterus is prone to become posterior, with the axis of the uterus aligned with the axis of the vagina. When the abdominal pressure increases, the uterus will lower along the vagina and cause prolapse. Chronic constipation and cough, ascites or centripetal obesity can increase abdominal pressure and promote uterine prolapse.

3. Congenital growth and development abnormalities

Uterine prolapse in non-pregnant women is caused by incomplete development of the reproductive tissues.

4. Malnutrition

Severe nutritional deficiencies can cause muscle atrophy, relaxation of the pelvic muscle fascia, and loss of supporting function for the uterus. Uterine prolapse due to malnutrition is often accompanied by symptoms such as gastroptosis and abdominal relaxation.

5. Decline

Ovarian reduction leads to decreased estrogen secretion, making the pelvic supporting tissue increasingly weak and loose, which can easily lead to uterine prolapse or aggravate the original prolapse.

Clinical symptoms

The patient's abdomen will actively fall down, which is more obvious when the waist is sore, walking or squatting. In cases of mild prolapse, the vaginal prolapsed material can be reduced automatically after lying down and resting. In more serious cases, the prolapsed material cannot be reduced, affecting movement. Long-term exposure to the outside may cause the cervix to become thickened, keratinized, or to develop erosion and ulcers. The patient has a lot of leucorrhea, which is sometimes thick or bloody. Some have menstrual disorders and menorrhagia. When accompanied by cystocele, difficulty urinating, urinary retention, work-related stress urinary incontinence, etc. may occur.

Uterine prolapse is the movement of the uterus downward along the vagina. It can be divided into 3 degrees according to the degree of prolapse:

1. Ⅰ degree

It means that the level of the external cervical os is lower than that of the ischial spine, the edge of the hymen is not reached, and the cervix and uterine body are still located in the female vagina. This level of uterine prolapse does not require treatment and can be restored by resting.

2. II degree

It means that the cervix has slipped out of the vulva, but the uterine body or part of the uterine body is still in the female vagina. However, because the scope involved is too large, in mild cases only the cervix may slip out of the vulva, and in severe cases the cervix may expand, and even the entire expanded cervix and vaginal wall may slip out of the vulva.

Grade II uterine prolapse is divided into two types: mild and severe: Grade II in mild form, the cervix slips out of the vulva, and the uterine body is still in the female vagina. In case of grade II hemorrhage, the cervix, part of the uterine body and most or all of the anterior vaginal wall slip out of the vulva.

3. Grade III

Refers to the entire uterine body and cervix slipping out of the vulva.